Individual
GARY DUANE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4344 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-2484
(702) 843-6500
Mailing address
4966 TIOGA PASS AVE, LAS VEGAS, NV 89139-0121
(623) 363-4835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6905-S
NV
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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